Morrow Angela M, Burton Karen L O, Watanabe Melissa M, Cloyd Benjamin H, Khut George P
Kids Rehab, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
School of Medicine, University of Sydney, Sydney, New South Wales, Australia.
Pain Pract. 2018 Jul;18(6):698-708. doi: 10.1111/papr.12655. Epub 2018 Jan 3.
The objective of this study was to develop a child-friendly biofeedback-mediated relaxation device called BrightHearts.
Qualitative data were collected at a tertiary pediatric hospital to inform an iterative design process. Clinicians participated in expert group interviews to identify practical considerations that would facilitate the use of BrightHearts during procedures and provide feedback on prototype designs. Children 7 to 18 years of age participated in interactive exhibitions of the prototypes and were interviewed about their experiences using BrightHearts.
Twenty-four clinicians participated in 6 group interviews. Thirty-nine children participated in interactive exhibitions, and 21 were interviewed. Clinicians placed high value on the following factors in the management of procedural pain: providing children with an element of control, the use of relaxation techniques, and the use of portable electronic devices such as iPads. They highlighted the need for BrightHearts to be cost effective, portable, and capable of engaging children's interest. They confirmed the utility of developing a biofeedback-assisted relaxation device for children. Based on the factors identified by clinicians, BrightHearts was developed as an iPad application (app) paired with a wireless heart rate monitor. The BrightHearts heart rate biofeedback app displays digital geometric artwork that responds to changes in heart rate. Children 7 to 17 years of age understood the concept of biofeedback and operated the app by slowing their heart rates.
The BrightHearts app can be used to teach children biofeedback-assisted relaxation. Ongoing studies are evaluating its efficacy for the management of procedural pain in children.
本研究的目的是开发一种名为“BrightHearts”的儿童友好型生物反馈介导放松设备。
在一家三级儿童医院收集定性数据，以指导迭代设计过程。临床医生参与专家组访谈，以确定在操作过程中有助于使用“BrightHearts”的实际考虑因素，并对原型设计提供反馈。7至18岁的儿童参加了原型的互动展示，并接受了关于他们使用“BrightHearts”体验的访谈。
24名临床医生参加了6次小组访谈。39名儿童参加了互动展示，21名儿童接受了访谈。临床医生在处理程序性疼痛时高度重视以下因素：为儿童提供控制感、使用放松技巧以及使用iPad等便携式电子设备。他们强调“BrightHearts”需要具有成本效益、便于携带且能够吸引儿童的兴趣。他们证实了开发一种用于儿童的生物反馈辅助放松设备的实用性。根据临床医生确定的因素，“BrightHearts”被开发为一款与无线心率监测器配对的iPad应用程序（app）。“BrightHearts”心率生物反馈应用程序会显示根据心率变化做出反应的数字几何图案。7至17岁的儿童理解了生物反馈的概念，并通过降低心率来操作该应用程序。
“BrightHearts”应用程序可用于教儿童生物反馈辅助放松。正在进行的研究正在评估其对儿童程序性疼痛管理的疗效。
